Jill Fabian (NPI# 1639544166, PAC ID# 1951608306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639544166 |
| PAC ID by PECOS | 1951608306 |
| Professional Enrollment ID | I20160330000134 |
| Full Name | Jill Fabian |
| Organization Legal Name | BOARDMAN GASTROENTEROLOGY GROUP, INC. |
| Address |
1220 Boardman Canfield Rd Youngstown OH 44512-4003 |
| Phone Number | 3307260131 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709049646 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360161 | ST JOSEPH WARREN HOSPITAL |
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| 360055 | TRUMBULL MEMORIAL HOSPITAL |
| 360276 | ST ELIZABETH BOARDMAN HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1622 E Market St, Warren, OH 44483-6613 | 3303997215 | THE GASTROENTEROLOGY CLINIC AND ENDOSCOPY CENTER INC |
| 1220 Boardman Canfield Rd, Youngstown, OH 44512-4003 | 3307260131 | BOARDMAN GASTROENTEROLOGY GROUP, INC. |
| Organization Legal Name | BOARDMAN GASTROENTEROLOGY GROUP, INC. |
| Physicians | 1 |
| Street Address |
1220 BOARDMAN CANFIELD RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44512-4003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | YOUNGSTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jill Fabian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.